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A Combination of N and S Antigens With IgA and IgG Measurement Strengthens the Accuracy of SARS-CoV-2 Serodiagnostics
Univ Turku, Inst Biomed, Infect & Immunol Unit, Turku, Finland..ORCID iD: 0000-0001-7218-4732
Univ Helsinki, Dept Physiol, Biomed, Helsinki, Finland..
Univ Turku, Inst Biomed, Infect & Immunol Unit, Turku, Finland..
Univ Turku, Inst Biomed, Infect & Immunol Unit, Turku, Finland.;Finnish Inst Hlth & Welf, Helsinki, Finland..
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2021 (English)In: Journal of Infectious Diseases, ISSN 0022-1899, E-ISSN 1537-6613, Vol. 224, no 2, p. 218-228Article in journal (Refereed) Published
Abstract [en]

Background. Primary diagnosis of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is based on detection of virus RNA in nasopharyngeal swab samples. In addition, analysis of humoral immunity against SARS-CoV-2 has an important role in viral diagnostics and seroprevalence estimates. Methods. We developed and optimized an enzyme immunoassays (EIA) using SARS-CoV-2 nucleoprotein (N), Si and receptor binding domain (RBD) of the viral spike protein, and N proteins from SARS, Middle East respiratory syndrome (MERS), and 4 low-pathogenic human CoVs. Neutralizing antibody activity was compared with SARS-CoV-2 IgG, IgA, and IgM EIA results. Results. The sensitivity of EIA for detecting immune response in COVID-19 patients (n = 101) was 77% in the acute phase and 100% in the convalescent phase of SARS-CoV-2 infection when N and RBD were used as antigens in IgG and IgA specific EIAs. SARS-CoV-2 infection significantly increased humoral immune responses against the 229E and NL63 N proteins. Si and RBD-based EIA results had a strong correlation with microneutralization test results. Conclusions. The data indicate a combination of SARS-CoV-2 Si or RBD and N proteins and analysis of IgG and IgA immunoglobulin classes in sera provide an excellent basis for specific and sensitive serological diagnostics of COVID-19.

Place, publisher, year, edition, pages
Oxford University Press, 2021. Vol. 224, no 2, p. 218-228
Keywords [en]
COVID-19, SARS-CoV-2, enzyme immunoassay, serology, respiratory infection, antibodies, coronavirus proteins, neutralizing antibodies
National Category
Infectious Medicine
Identifiers
URN: urn:nbn:se:kth:diva-302679DOI: 10.1093/infdis/jiab222ISI: 000693671600005PubMedID: 33905505Scopus ID: 2-s2.0-85111110512OAI: oai:DiVA.org:kth-302679DiVA, id: diva2:1599198
Note

QC 20210930

Available from: 2021-09-30 Created: 2021-09-30 Last updated: 2024-03-15Bibliographically approved

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Ritvos, Mikael A.

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Jalkanen, PinjaHuttunen, MoonaRitvos, Mikael A.Naves, RaunoHaveri, AnuOsterlund, Pamela
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School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH)
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Journal of Infectious Diseases
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